Accident Report Detail

Accident Summary Nr: 201058831 - Employee injured in fall when raised platform collapses

Accident Summary Nr: 201058831 -- Report ID: 0950642 -- Event Date: 09/29/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307162842	10/04/2004	1741	238140	Covi Concrete

Abstract: On September 29, 2004, Employee #1 was preparing a work site at a shopping center for a concrete pour the next day. He was using a 2 ft x 4 ft piece of wood to install an edge board. Employee #1 was bent over, holding a screw gun in one hand and the piece of wood in the other when he lost his balance and fell on a raised platform. The platform collapsed and he fell another 15 ft to the ground. Employee #1 suffered multiple fractures, for which he was hospitalized. The platform was unsecured and did not have railings or toe boards. The job foreman had given Employee #1 permission to work at the site.

Keywords: CONCRETE FORM WORK, GUARDRAIL, UNSECURED, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, ELEVATED WORK PLAT, LOST BALANCE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$20,000,000 and over	4	56

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	307162842			Hospitalized injury	Fracture	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 15 feet Cause: Exterior carpentry Fatality Cause: Fall from/with structure (other than roof)

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.